| NPI | 1033227202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 87226) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 38947) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD00042553) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-04-22 |